Individual provider · Type 1 NPI

Benjamin Maddock

Mental Health Counselor · Bloomington, IN

NPI number 1821796368 Active

Practice location

1117 N Jackson St
Bloomington, IN 47404-3385

Mailing address

800 N Smith Rd Apt 7B
Bloomington, IN 47408-2934

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821796368

Benjamin Maddock's National Provider Identifier is 1821796368, issued on Feb 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IN. The record was last updated on Feb 22, 2023.